The Financial Management Group Meets every Tuesday at 11am ET.
Join using https://us02web.zoom.us/j/82031005986 / 098894
Reviewed: 2023-02-07
Mission
The mission of the Financial Management Work Group (FM) is to provide HL7 artifacts to support:
- The costing, financial transactions and billing which occur within a healthcare practitioner/provider organization
- The eligibility, enrollment, authorizations, claims and payments, and contractual arrangements, which occur between and among healthcare providers, insurers, and patients
- Reporting and notification between insurers, payers, subscribers, beneficiaries, and guarantors.
This WG earned a WG Healthiest Star rating in each of the three trimesters measured in 2017, 2018, 2019, 2020, 2021 and 2022.
Charter
FM will produce normative standards for financial event messages and content models. Will work closely with appropriate Work Groups to coordinate and consolidate references to financial instruments in all HL7 artifacts. FM will monitor complementary financial and administrative information interchange standards other than HL7, and attempt to harmonize message content and vocabularies where possible.
Artifacts may include concepts such as:
- Administration support
- Contracting
- Self-pay
- Billing
- Claims
- Explanation of Benefits
- Payment
- Reporting
Work Products and Contributions to HL7 Processes
FM collaborates with Patient Administration (PA) and Payer/Provider Information Exchange (PIE) for cross-domain initiatives.
FM will develop specifications using the appropriate product family methodologies.
Formal Relationships With Other HL7 Groups
Formal relationships with other Work Groups include:
- PA
- PIE
- Structured Documents
- Vocabulary
Formal Relationships with Groups Outside of HL7
None.
The HL7 FM Work Group collaborates with other organizations under the existing HL7 SOUs:
- ADA
- AHA
- AMA
- CAQH
- NCPDP
- WEDI
The committee will coordinate informally with members of other SDOs, such as X12, in the absence of a formal relationship.
Leadership
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American Medical Association Phone: USA +1 312-464-2418 celine.lefebvre@ama-assn.org Term ends December 31, 2023 |
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Term ends December 31, 2024 |
Recently updated
2 Comments
Mike Berkman
If we wanted to create a collaborative page to discuss a proposal for an extension, could we make it a child of this page? Under documentation? Any guidance would be helpful
Koray Atalag
Kathleen Connor Mary Kay McDaniel Jeff Brown Celine Lefebvre Paul Knapp Benoit Schoeffler Dear co-chairs, I'd like to endorse an unresolved Jira issue: FHIR-22812 - Getting issue details... STATUS I reckon this has been raised by Priya Mathew in Jul 2019 but have since not been resolved. I've added comments with links to detailed description of my use case and context around it. I'd really appreciate if you could prioritise it as I really need this happening for a large scale national deployment in Singapore. Basically I'm asking to extend the scope of EnrollmentRequest/Response to be able to cater for enrolling patients to a wider range of projects/programs such as wellness / disease management / patient generated health data collection programs (e.g. PROMs/PREMs) or research studies / trials.